Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GWENDOLYN H WITHERSPOON
NPI 1144721069
Counselor - Mental Health in Raleigh, NC

Q: What is Gwendolyn Witherspoon's NPI number?

The NPI number for Gwendolyn Witherspoon is 1144721069. It was assigned to this individual provider in the NPPES registry on February 26, 2018.

Q: What is Gwendolyn Witherspoon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since February 26, 2018PECOS Enrolled

2321 CRABTREE BLVD STE 250, RALEIGH, NC 27604(919) 757-9225 Get Directions Write a Review

NPPES record last updated: October 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 4, 2026, Feb 26, 2018 (2 updates tracked since 2018).

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About Gwendolyn H Witherspoon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GWENDOLYN H WITHERSPOON (NPI 1144721069) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (A13798) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144721069

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameGWENDOLYN H WITHERSPOON

Location Address2321 CRABTREE BLVD STE 250Raleigh, NC 27604-2263

Mailing Address2321 Crabtree Blvd Ste 250Raleigh, NC 27604-2263 · (919) 848-9108 · Fax (919) 848-9109

Phone(919) 757-9225

Sole ProprietorYes

Enumeration DateFebruary 26, 2018

Last NPPES UpdateOctober 4, 20262 updates tracked since enumeration

✔ NPI 1144721069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A13798

2321 CRABTREE BLVD STE 250, Raleigh, NC 27604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gwendolyn H Witherspoon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Gwendolyn Witherspoon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sigma Health Services LLC

1.8 mi

Community/Behavioral Health

1001 NAVAHO DR STE GL150
Raleigh, NC 27609

Reassigned Medicare billing, North Carolina enrollment
8 clinicians in this Medicare group

NPI 1962643270 (919) 868-0084

Grow Healthcare Group PA

697 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, North Carolina enrollment
712 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL B ROBINSON CSAC

Counselor (Addiction (Substance Use Disorder))